guideline and application form for the re-certification

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THE HONG KONG COLLEGE
OF
OBSTETRICIANS AND GYNAECOLOGISTS
Re-certification
of
Reproductive Medicine Subspecialists
Applicant : _______________________________________________
Period Covered: ___________________ to ______________________
Re-certification of RM Subspecialists
July 2005
Published by:
Reproductive Medicine Subspecialty Board
The Hong Kong College of Obstetricians and Gynaecologists
Room 805, Hong Kong Academy of Medicine Jockey Club Building
99 Wong Chuk Hang Road
Aberdeen
Hong Kong
Tel: (852) 2871 8700
Fax: (852) 2896 4902
Email: admin@hkcog.org.hk
The Hong Kong College of Obstetricians and Gynaecologists
is a Constituent College of
Hong Kong Academy of Medicine
Re-certification of RM Subspecialists
July 2005
Guidelines for Re-certification of
Subspecialist in Reproductive Medicine, HKCOG
A reproductive medicine subspecialist who satisfies the audit activities and the
continuous medical education requirements may apply to the Board for recertification. There will be 2 submissions of audit and CME activities, the first one
soon after the first 3 years and the second one 6 months before completion of the 6year cycle. Each submission should include:i. the total number of clinical workload in the 3-year or 2½ year period as
appropriate
ii. detailed logged work in any self-selected consecutive 6 month period
iii. CME activities in the 3-year or 2½ year period as appropriate
AUDIT ACTIVITIES
1) A statistical summary of the patients managed over the past 3-year (or 2½ year
period as appropriate) should be provided in RM-I. This included :a. The total number of patients with reproductive endocrine disorders or
subfertility managed by you during the audit period.
b. The total number of reproductive treatment procedures performed by you as
principal physician or as supervising physician during the audit period.
2) Logging of 6 continuous months of reproductive treatment procedures performed
by you over the past 3-year (or 2½ year period as appropriate) should be provided
in RM-II. The information on operative procedures (including reproductive
surgery, oocyte retrieval, embryo transfer, gamete/zygote tubal transfer) must be
certified by the unit head or hospital superintendent/hospital chief executive. Each
case or procedure should be submitted only by one applicant whose name is
among the list of operators in the operation record. If there are more than one
operator in the list of operators, the operators should resolve among themselves
which operator can submit the case.
3) An annual minimum of 100 cases of reproductive endocrine disorders or
infertility, and 20 treatment cycles of IVF and/or GIFT/ZIFT is expected to be
managed by a reproductive medicine subspecialist.
CONTINUOUS MEDICAL EDUCATION
1) CME activities related to reproductive medicine –
(a) research
(b) teaching
(c) attending conferences related to reproductive medicine
Re-certification of RM Subspecialists
July 2005
2) A minimum of 90 CME points including at least 60 reproductive medicine CME
points is required in every 3-year cycle. The method of calculating CME points is
similar to the current CME system for general O&G. Information on CME
activities over the preceding 3 years or 2½ year period as appropriate should be
provided in RM-III. The College reserves the right to accept or reject the
subspecialty CME points claimed.
Please
note:
1
Regulations governing the re-certification are located in the
Subspecialty Training and Development Documents in
Reproductive Medicine issued by the College.
2
The Subspecialty Board reserves the right to ask for
additional/detailed evidence in support of the claims by the
applicants.
Please contact Reproductive Medicine Subspecialty Board if your have any queries.
Re-certification of RM Subspecialists
July 2005
Application for Re-certification of
Reproductive Medicine Subspecialist, HKCOG
I would like to apply for re-certification of subspecialist in reproductive medicine.
(For the period from ____________________ to ____________________ )
I
Personal data
Name (surname first)
HKID/Passport No.
Sex
Date of birth
Correspondence address
Phone
II
Fax
E-mail
Medical education and training
Medical school
Basic degree
Member of HKCOG
Qualifications:
Year
Year
MRCOG Year
FHKAM(O&G) Year
MRACOG
FRCOG Year
FHKCOG Year
FRACOG
Others
III
Subspecialist in Reproductive Medicine (HKCOG) since:
IV
Type of practice: HA / University / Private (delete as appropriate)
Re-certification of RM Subspecialists
July 2005
(MM/YY)
RM-I
V.
VI.
Total number of new patients with reproductive endocrine disorders or
subfertility managed by you over the *past 3 or 2½ years
Reproductive endocrine disorders
___________
Subfertility
___________
Others (specify)
___________
Total number of the following reproductive treatment procedures performed
by you over the *past 3 or 2½ years
a
Reproductive hormone therapies
___________
b
Reproductive surgeries
___________
Superovulation for IUI/IVF/GIFT
(inclusive of ovarian monitoring)
___________
Intrauterine insemination
___________
Oocyte retrieval
___________
Embryo transfer
___________
Gamete / embryo tubal transfer
___________
Others (specify)
___________
* Circle as appropriate
a
Reproductive hormone therapies include bromocriptine or other drugs for
hyperprolactinaemia; clomiphene, metformin or other oral drugs for induction of ovulation;
hormonal treatment for endometriosis; hormonal treatment for polycystic ovarian disease;
hormonal replacement therapy and other pre-recognized hormonal therapies.
b
Reproductive Surgical Procedures include therapeutic surgery for pelvic endometriosis;
adhesiolysis; ovarian drilling; tubal recannulation; salpingostomy /salpingectomy for
hydrosalpinx; tubal reconstructive surgery; operative hysteroscopy; myomectomy and other
pre-recognized therapeutic reproductive surgical procedures.
Name of Applicant
Date:
Re-certification of RM Subspecialists
July 2005
Signature of Applicant
RM - II
Application for Re-certification of
Reproductive Medicine Subspecialist, HKCOG
Logging of 6 continuous months of reproductive treatment procedures
performed during the audit period
Period of detailed logged work: from____/___/____ to
Date
Hosp. No /
* ID No
Diagnosis
_____/____/____
Treatment
Outcome (if any)
* Include character and first 5 digits of ID. No. only
Name and Signature of Applicant
Date:
Re-certification of RM Subspecialists
July 2005
Name & Signature:
Certification Unit Head/Hospital administrator
Page ____ of RM-II
RM - III
Reproductive medicine related CME activities in the *past 3 or 2½ years
(based on CME programme approved by the HKCOG)
Period of time: from____/___/____ to
_____/____/____
* Circle as appropriate
Activities
#Subspecialty
CME points
in Reproductive Medicine
Category 1 meeting
1a Meeting - Active
1b Meeting - Passive
Category 2 meeting
2a Meeting - Active
2b Meeting - Passive
Category 3 meeting
3a Meeting - Active
3b Meeting - Passive
Publications
Self Study
Quality assurance
Others (Please specify):
#
You may be required to provide proof of the Subspecialty CME points claimed
Name of Applicant
Date:
Re-certification of RM Subspecialists
July 2005
Signature of Applicant
Page ____ of RM-III
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